Derosa, Miranda Nicole

Derosa, Miranda Nicole is an individual health care provider with primary practice located at 58923 Business Center Dr , Yucca Valley CA 92284-7311. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Derosa, Miranda Nicole can be contacted via phone (909) 832-0427.

Contact Information

Primary practice address
58923 Business Center Dr Yucca Valley CA 92284-7311
Phone: (909) 832-0427
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 113348 California
Behavioral Health & Social Service Providers / Social Worker 104100000X 113348 California

Profile Details

NPI number 1336823210
LBN Legal business name Derosa, Miranda Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2023
Last updated Apr 29th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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